NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
62323 Injection of substance into lower spine canal using imaging guidance CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Nerve Block Injection - Back (CMS RBCS)
First observed 2017
National scale 611,382 services ▼ 1.2% YoY · 454,655 beneficiaries (CY2024, Medicare FFS)
Medicare paid $93.8M · $153.47 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,869
Named-group FFS services
311,495
FFS of Medicare
49%
Services YoY
-1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~623,179 services

311,495 observed fee-for-service (50%) · ~311,684 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 62323 (CY2024)
FL 47,644 CA 44,672 TX 36,953 PA 35,795 NY 32,982

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$303.5M
Named-group allowed amount
$51.4M
Named-group Medicare payments
$39.2M
Avg charge / svc
$974
Avg allowed / svc
$165
Avg payment / svc
$126
Average charge per group
$93 1,869 groups · avg submitted charge / service $90,000
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 62323 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 3,694 $4,743,096 $1,284 13.4% —
2 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 2,783 $3,445,260 $1,238 17.6% (334) 288-7808
3 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 1,870 $1,426,860 $763 8.7% (803) 256-4107
4 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,847 $1,507,095 $816 5.0% (254) 724-2663
5 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 1,754 $877,000 $500 8.2% —
6 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 1,737 $4,128,202 $2,377 5.3% (516) 536-2800
7 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 1,604 $1,177,859 $734 18.0% (435) 635-0174
8 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 1,359 $1,565,568 $1,152 15.3% (435) 216-7000
9 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 1,291 $804,270 $623 6.0% (803) 749-5101
10 REGIONAL REHAB ASSOCIATES PA NAPLES FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 14 1,270 $1,319,330 $1,039 2.7% (239) 254-7778
11 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 1,269 $3,502,663 $2,760 8.9% (252) 847-4100
12 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,261 $763,482 $605 4.6% —
13 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,231 $808,767 $657 4.5% (630) 469-9200
14 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,214 $3,748,800 $3,088 3.7% (212) 263-9700
15 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 1,190 $580,150 $488 8.7% (502) 855-7200
16 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,160 $1,227,384 $1,058 2.6% (858) 455-9100
17 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 1,112 $977,001 $879 7.8% (919) 544-7270
18 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 1,106 $1,046,750 $946 2.3% (407) 622-5766
19 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 1,105 $497,250 $450 2.5% (760) 340-3911
20 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 1,094 $359,926 $329 5.5% (781) 983-9088
21 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,074 $2,152,604 $2,004 9.0% (800) 603-0558
22 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 1,068 $1,105,139 $1,035 3.2% (631) 543-1440
23 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 1,063 $2,132,378 $2,006 7.7% (317) 228-7000
24 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 1,059 $455,897 $430 5.3% —
25 SPORT MEDICINE AND ORTHOPAEDIC CENTER INC SUFFOLK VA PHYSICIAN ASSISTANT 26 1,049 $708,212 $675 7.7% 75754751453502
26 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,017 $578,460 $569 3.7% —
27 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 1,012 $959,760 $948 3.1% (631) 422-6166
28 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 1,004 $1,017,615 $1,014 2.1% (352) 693-3378
29 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 999 $821,120 $822 7.6% (913) 588-1227
30 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 999 $821,386 $822 4.6% (843) 720-8448
31 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 997 $1,011,075 $1,014 2.2% (800) 926-8273
32 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 987 $1,205,600 $1,221 5.2% (410) 571-2946
33 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 985 $1,726,480 $1,753 2.1% —
34 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 962 $1,164,168 $1,210 2.0% (850) 877-8174
35 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 950 $617,684 $650 2.9% —
36 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 937 $916,960 $979 6.9% (703) 971-4604
37 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 914 $645,284 $706 4.6% —
38 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 907 $397,126 $438 2.5% (817) 920-0484
39 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 874 $687,962 $787 20.7% (701) 234-2000
40 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 868 $439,615 $506 2.4% —
41 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 856 $818,016 $956 4.3% (617) 732-5500
42 ROCKFORD PAIN CENTER LTD ROCKFORD IL PAIN MANAGEMENT 6 849 $1,360,947 $1,603 3.1% (815) 316-7300
43 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 824 $258,500 $314 10.0% (509) 946-4611
44 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 822 $1,383,974 $1,684 7.9% (405) 751-0011
45 NORTHWEST SUBURBAN PAIN ASSOCIATES LLC ARLINGTON HEIGHTS IL PAIN MANAGEMENT 4 822 $493,200 $600 3.0% (847) 255-0900
46 PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC ANDERSON SC PHYSICAL MEDICINE AND REHABILITATION 5 816 $579,360 $710 3.8% 86422535511136
47 SUSQUEHANNA VALLEY PAIN MANAGEMENT, P.C. HARRISBURG PA INTERVENTIONAL PAIN MANAGEMENT 6 806 $483,600 $600 2.3% (717) 652-8670
48 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 806 $616,590 $765 4.0% —
49 ORTHOUNITED, INC. CANTON OH PHYSICIAN ASSISTANT 85 791 $502,898 $636 4.0% (330) 492-9200
50 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 785 $352,259 $449 7.5% (405) 242-4100
51 SOUTHERN PAIN AND REHABILITATION INC PADUCAH KY NURSE PRACTITIONER 6 782 $993,218 $1,270 5.7% (270) 228-0118
52 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 781 $1,151,846 $1,475 3.9% (978) 818-6350
53 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 778 $330,339 $425 2.2% —
54 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 775 $564,816 $729 5.4% (314) 747-3000
55 NORTHWEST ORTHOPAEDIC SPECIALISTS PS SPOKANE WA PHYSICIAN ASSISTANT 80 769 $402,956 $524 9.4% (509) 465-1300
56 ORTHOPEDIC SURGEONS LTD CAMP HILL PA PHYSICIAN ASSISTANT 94 762 $596,646 $783 2.1% (717) 920-2620
57 SOUTHERN MICHIGAN PAIN CONSULTANTS PC PORTAGE MI NURSE PRACTITIONER 12 749 $459,886 $614 4.8% (269) 329-2887
58 SOUTHEASTERN PAIN AND REHABILITATION PHYSICIANS, PC TUSCALOOSA AL INTERVENTIONAL PAIN MANAGEMENT 4 735 $441,000 $600 4.6% (205) 759-7246
59 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 723 $481,518 $666 2.0% (484) 596-5254
60 NORTHEAST PAIN MANAGEMENT PC BANGOR ME PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 722 $433,200 $600 51.7% (207) 942-6226
61 PINEHURST SURGICAL CLINIC PA PINEHURST NC PHYSICIAN ASSISTANT 91 721 $718,986 $997 5.0% (910) 295-6831
62 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 721 $173,761 $241 7.6% (479) 314-5175
63 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 719 $763,127 $1,061 1.6% (916) 681-8852
64 COASTAL MEDICAL ASSOCIATES WEYMOUTH MA PHYSICIAN ASSISTANT 458 716 $471,646 $659 3.6% (781) 792-4136
65 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 710 $355,673 $501 10.6% —
66 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 698 $432,244 $619 3.7% (301) 774-0500
67 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ANESTHESIOLOGY 232 692 $1,018,914 $1,472 1.5% (310) 794-1841
68 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 686 $1,007,048 $1,468 4.7% (800) 321-9999
69 ORA ORTHOPEDICS PC MOLINE IL PHYSICIAN ASSISTANT 117 684 $652,536 $954 2.5% (309) 762-3621
70 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 677 $390,582 $577 2.1% (914) 241-1050
71 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 671 $591,840 $882 4.6% (856) 247-7260
72 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 668 $511,704 $766 10.6% (515) 343-1000
73 CHRIST HOSPITAL ORTHOPEDIC ASSOCIATES LLC CINCINNATI OH PHYSICIAN ASSISTANT 26 663 $199,153 $300 3.3% (513) 792-7445
74 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 644 $191,658 $298 1.8% —
75 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 643 $704,807 $1,096 2.3% (888) 824-0200
76 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 642 $494,393 $770 2.3% (847) 459-1160
77 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 632 $381,750 $604 6.6% (601) 420-2040
78 PIONEER SPINE AND SPORTS PHYSICIANS PC WEST SPRINGFIELD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 29 627 $627,447 $1,001 3.1% (413) 785-1153
79 ORTHOPAEDIC ASSOCIATES OF ALLENTOWN ALLENTOWN PA ORTHOPEDIC SURGERY 42 623 $252,315 $405 1.7% (610) 973-6200
80 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 622 $445,974 $717 1.4% (530) 246-2467
81 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 622 $581,570 $935 4.4% (816) 221-4114
82 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 621 $725,592 $1,168 7.6% 22576922002164
83 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 616 $801,775 $1,302 6.6% (414) 421-8400
84 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 613 $490,972 $801 1.7% (903) 606-5560
85 RICHARD L. VERA MD, PA GRAPEVINE TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 609 $341,040 $560 1.6% (817) 421-0279
86 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 601 $373,822 $622 3.0% (937) 395-8646
87 UNIVERSITY AT BUFFALO NEUROSURGERY INC AMHERST NY PHYSICIAN ASSISTANT 71 592 $1,071,410 $1,810 1.8% (716) 218-1000
88 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 589 $515,048 $874 2.7% —
89 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 589 $766,704 $1,302 6.1% (228) 230-2663
90 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 585 $779,968 $1,333 2.7% (864) 582-6396
91 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI KY PHYSICIAN ASSISTANT 468 578 $338,720 $586 4.2% (513) 354-3700
92 LAWRENCE PHYSICIANS LLC LAWRENCE KS PHYSICIAN ASSISTANT 219 575 $338,240 $588 4.4% —
93 TACONIC ORTHOPAEDICS PC MANCHESTER CENTER VT NURSE PRACTITIONER 3 573 $511,689 $893 38.6% (802) 251-6294
94 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 569 $386,420 $679 9.0% (515) 239-4400
95 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 568 $284,737 $501 4.1% (502) 928-1050
96 SPINAL INTERVENTIONS, PLLC PROVO UT ANESTHESIOLOGY 3 564 $332,760 $590 6.3% (801) 223-4860
97 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 563 $332,504 $591 1.3% (310) 423-0674
98 ANESTHESIA ASSOCIATES GADSDEN AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 64 558 $132,666 $238 3.5% —
99 NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC SYRACUSE NY NURSE PRACTITIONER 27 557 $264,575 $475 1.7% (315) 448-5111
100 OANDW ENTERPRISES STANLEYTOWN VA PHYSICIAN ASSISTANT 208 550 $489,500 $890 4.0% (888) 724-0268

Showing the top 100 of 1,869 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →